Professional Charge Capture and Coding

  • Professional Level Assignment
    • Supported by CMS 1995 or 1997 Evaluation and Management (E/M Guidelines)
  • Provider Assignment capabilities that support qualified health care professionals, including mid level providers, residents, fellows, and attendings
  • Scribe capture

Key Reporting: 

  • Provider Opportunity Report 
  • RVU Report 
  • Provider Comparison 

 

Professional Procedure Charge Capture

  • CPT and HCPCS Coding Enhanced with Built in NCCI Modifier Edits
  • Quick Search Ability by Procedure Description, CPT Code, Billing Code, Word, Letter or Number
  • CPT Category Grouping for Easy Find 
  • Mapping Capability for “Procedure Levels”, configurable to CPT or Charge Codes 

Merit-Based Incentive Payment System (MIPs) Reporting 

  • System Triggered MIPs Eligible Cases with applicable numerator assignment
  • Multi-specialty Collection 

Key Reporting:

  • MIPs Report identifies all measures captured and if the measure was met, not met, or excluded

 

Diagnosis Capture 

  • Diagnosis Encoder integrated with industry standards and guidelines
  • Local and National Coverage Determination (LCD/NCD) Scrubber 

Key Reporting: 

  • Unspecified Trending Report details trending of unspecified ICD 10 code selection